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Jacqueline C Desa-shishido, LPN
Licensed Practical Nurse in Pahoa, Hawaii
NPI 1114298569

Jacqueline C Desa-shishido is a Licensed Practical Nurse based in Honolulu, HI. Jacqueline C Desa-shishido practices in Pahoa, HI and has the professional credentials of LPN. The NPI Number for Jacqueline C Desa-shishido is 1114298569 and holds a License No. 9065 (Hawaii).

The current practice location address for Jacqueline C Desa-shishido is 15-2866 Pahoa Village Rd, Pahoa, HI and can be reached out via phone at 808-965-2241 and via fax at 808-965-2240.

Location: 15-2866 Pahoa Village Rd, Pahoa, HI, 96813-2416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114298569
Provider Name
Jacqueline C Desa-shishido
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
15-2866 Pahoa Village Rd, Pahoa, HI, 96813-2416
Phone Number
808-965-2241
Fax Number
808-965-2240
Provider Enumeration Date
01/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15-2866 Pahoa Village Rd
City
Pahoa
State
Hawaii
Zip
96778-7720
Phone Number
808-965-2241
Fax Number
808-965-2240
person
Provider Business Mailing Address Details
Address
15-2866 Pahoa Village Rd
City
Pahoa
State
Hawaii
Zip
96778-7720
Phone Number
808-965-2241
Fax Number
808-965-2240
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
9065 (Hawaii)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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